ArticleNutrition & metabolism2012
Associations of dietary indices with biomarkers of dietary exposure and cardiovascular status among adolescents in Germany.
Article in Nutrition & metabolism, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 2 of them syntheses that pooled it.
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Who cites it
18 citing papers in PubMed, 2 syntheses or guidelines pooled it, 37 citations in OpenAlex.
- Healthy and Sustainable Dietary Patterns in Children and Adolescents: A Systematic Review.Advances in nutrition (Bethesda, Md.) · 2022Pooled it
- Associations between dietary factors and obesity-related biomarkers in healthy children and adolescents - a systematic review.Nutrition journal · 2017Pooled it
- Article
- Analyzing the Impact of Family Structure Changes on Children's Stress Levels Using a Stress Biomarker.Journal of health and social behavior · 2024Article
- Distribution and determinants of glycosylated hemoglobin in adolescents - Results from a nationwide population-based survey in Germany.PloS one · 2024Article
- Dietary patterns and indicators of cardiometabolic risk among rural adolescents: A cross-sectional study at 15-year follow-up of the MINIMat cohort.Frontiers in nutrition · 2023Article
- Pro-inflammatory Diet Pictured in Children With Atopic Dermatitis or Food Allergy: Nutritional Data of the LiNA Cohort.Frontiers in nutrition · 2022Article
- Methodological Aspects of Diet Quality Indicators in Childhood: A Mapping Review.Advances in nutrition (Bethesda, Md.) · 2021Review
- Dietary Diversity Indicators and Their Associations with Dietary Adequacy and Health Outcomes: A Systematic Scoping Review.Advances in nutrition (Bethesda, Md.) · 2021Article
- Article
- Age, maturation and serum lipid parameters: findings from the German Health Survey for Children and Adolescents.BMC public health · 2019Article
- Changes in Human Milk Fatty Acid Composition During Lactation: The Ulm SPATZ Health Study.Nutrients · 2019Observational
- Article
- Dietary Diversity among Preschoolers: A Cross-Sectional Study in Poor, Rural, and Ethnic Minority Areas of Central South China.Nutrients · 2019Article
- Dinner consumption and cardiovascular disease risk factors among a nationally representative sample of Iranian adolescents: the CASPIAN-III Study.Journal of cardiovascular and thoracic research · 2019Article
- Dietary Diversity: Implications for Obesity Prevention in Adult Populations: A Science Advisory From the American Heart Association.Circulation · 2018Review
- The association between Mediterranean Diet Score and glucokinase regulatory protein gene variation on the markers of cardiometabolic risk: an analysis in the European Prospective Investigation into Cancer (EPIC)-Norfolk study.The British journal of nutrition · 2014Article
- A cluster-analytic approach towards multidimensional health-related behaviors in adolescents: the MoMo-Study.BMC public health · 2012Article
Corrections and comments
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Authors and funding
6 authors at 3 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
unlabelled
backgroundAdolescence is an important life stage for the development of dietary preferences and health behaviour. Longitudinal studies indicated that cardiovascular status in adolescence predicts cardiovascular risk marker values in adulthood. Several diet quality indices for adolescents have been developed in the past, but literature concerning associations between indices and biomarkers of dietary exposure and cardiovascular status is rather sparse. Hence, the aim of this study was to analyse associations of dietary indices with biomarkers of dietary exposure and cardiovascular status.
methodsFor the present analysis, data from the German Health Interview and Examination Survey for Children and Adolescents (KiGGS 2003-2006) were used. The analysis included 5,198 adolescents, aged 12 to 17 years. The Healthy Food Diversity Index (HFD), the Healthy Nutrition Score for Kids and Youth (HuSKY), the Indicator Food Index (IFI) and a simple fruit/vegetable intake index were derived from food frequency questionnaire information to indicate a healthy diet. Adjusted mean values for homocysteine, uric acid, CRP, total cholesterol, HDL-C, ferritin, HbA1c, folate, vitamin B12 and BMI were calculated using complex-samples general linear models for quintiles of the different indices. Furthermore, the agreement in ranking between the different indices was calculated by weighted kappa. All statistical analyses were conducted for boys and girls separately, and were adjusted for potential confounders.
resultsFolate was positively associated with the HFD, the HuSKY, and fruit/vegetable intake for both boys and girls and with IFI for boys. Among girls, positive associations were seen between vitamin B12 and the IFI and between diastolic blood pressure and the IFI as well as fruit/vegetable intake. A negative association was found between homocysteine and the HFD, the HuSKY, and the IFI for both boys and girls and with fruit/vegetable intake for boys. Among boys, uric acid and HbA1c were negatively and prevalence of obesity positively associated with the IFI.
conclusionsOverall, the indices, even the simpler ones, seem to have a similar general capability in predicting biomarkers of dietary exposure. To predict risk of cardiovascular disease dietary indices may have to be more specific.
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Registered trials
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